Genome-wide association studies have identified variants associated with obesity-related traits, such as the body mass index (BMI). We sought to determine how the combination of 31 validated, BMI-associated loci contributes to obesity- and diabetes-related traits in a French population sample.
Goumidi et al BMC Genetics 2014, 15:62 http://www.biomedcentral.com/1471-2156/15/62 RESEARCH ARTICLE Open Access Effects of established BMI-associated loci on obesity-related traits in a French representative population sample Louisa Goumidi, Dominique Cottel, Jean Dallongeville, Philippe Amouyel and Aline Meirhaeghe* Abstract Background: Genome-wide association studies have identified variants associated with obesity-related traits, such as the body mass index (BMI) We sought to determine how the combination of 31 validated, BMI-associated loci contributes to obesity- and diabetes-related traits in a French population sample The MONA LISA Lille study (1578 participants, aged 35–74) constitutes a representative sample of the population living in Lille (northern France) Genetic variants were considered both individually and combined into a genetic predisposition score (GPS) Results: Individually, 25 of 31 SNPs showed directionally consistent effects on BMI Four loci (FTO, FANCL, MTIF3 and NUDT3) reached nominal significance (p ≤ 0.05) for their association with anthropometric traits When considering the combined effect of the 31 SNPs, each additional risk allele of the GPS was significantly associated with an increment in the mean [95% CI] BMI of 0.13 [0.07-0.20] kg/m2 (p = 6.3x10−5) and a 3% increase in the risk of obesity (p = 0.047) The GPS explained 1% of the variance in the BMI Furthermore, the GPS was associated with higher fasting glycaemia (p = 0.04), insulinaemia (p = 0.008), HbA1c levels (p = 0.01) and HOMA-IR scores (p = 0.0003) and a greater risk of type diabetes (OR [95% CI] = 1.06 [1.00-1.11], p = 0.03) However, these associations were no longer statistically significant after adjustment for BMI Conclusion: Our results show that the GPS was associated with a higher BMI and an insulin-resistant state (mediated by BMI) in a population in northern France Keywords: Genetic predisposition score, Polymorphism, BMI, Obesity, General population Background According to the World Health Organization (WHO)’s criterion for obesity (body mass index (BMI) ≥ 30 kg/m2), up to 15% of the adults in Europe are obese [1] The prevalence of obesity has more or less doubled since 1980 [2] Obesity is a serious public health issue worldwide Indeed, there is a well-documented relationship between a high BMI on one hand and mortality and morbidity due to chronic diseases (such as cardiovascular disease, certain cancers, type diabetes (T2D) and osteoarthritis) on the other [3] Accordingly, the WHO has declared obesity to be a global epidemic that affects both industrialized and non-industrialized countries [4] * Correspondence: Aline.Meirhaeghe@pasteur-lille.fr INSERM, U744; Institut Pasteur de Lille; Université Lille Nord de France, rue du Pr Calmette, BP 245, Lille Cedex F-59019, France Body fat mass is influenced by the combination of genetic factors and lifestyle factors (such as diet and physical activity) Family and twin studies have shown that genetic factors account for 40–70% of the population variation in BMI [5,6]; this may explain why people are not all equally affected by obesity in an obesogenic environment [7] Genome-wide association studies (GWASs) have sought to elucidate the genetic basis of obesity and its related traits To date, 32 genetic loci have been unequivocally associated with BMI [8] Several studies have replicated these associations and have taken account of the combined impact of these GWAS-validated loci when considering BMI and other obesity-related phenotypes [8,9] The objective of the present study was to replicate the combined effects of the established BMI-associated loci on BMI, body fat percentage, waist circumference, waist-to-hip ratio (WHR) and obesity risk in a representative sample of the general population in northern France (n = 1578) Furthermore, the high © 2014 Goumidi et al.; licensee BioMed Central Ltd This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated Goumidi et al BMC Genetics 2014, 15:62 http://www.biomedcentral.com/1471-2156/15/62 observed burden of obesity-related co-morbidities (such as insulin resistance and T2D) prompted us to test the impact of the BMI-associated loci on glucose-related traits and the risk of T2D Results Characteristics of the MONA LISA Lille study The characteristics of the study participants are summarized in Additional file 1: Table S1 Of the 1578 individuals, 37.3% were overweight, 22.4% were obese, and 9.2% had T2D We selected 32 single nucleotide polymorphisms (SNPs) in or near the genes listed hereafter and that are known to be associated with BMI: FTO, MC4R, TMEM18, GNPDA2, BDNF, NEGR1, SH2B1, ETV5, MTCH2, KCTD15, TFAP2B, NRXN3, FAIM2, SEC16B, RBJ-ADCY3-POMC, GPRC5B, MAP2K5-LBXCOR1, QP CTL-GIPR, TNNI3K, SLC39A8, FLJ35779-HMGCR, LR RN6C, TMEM160, FANCL, CADM2, PRKD1, LRP1B, PTBP2, MTIF3-GTF3A, RPL27A-TUB, NUDT3-HMGA1 and ZNF608 [8] Genotyping of the ZNF608 rs4836133 SNP failed and so the remaining 31 SNPs were investigated further Single-variant analyses All SNPs conformed to Hardy-Weinberg equilibrium (Additional file 1: Table S2) As the sample size was relatively small and the statistical power limited, no SNPs were significantly associated with any of the anthropometric parameters Only the FTO rs9939609 and FANCL rs887912 SNPs were nominally associated with BMI (β ± SE = 0.49 ± 0.19 kg/m2, p = 0.008 and β ± SE = 0.54 ± 0.19 kg/m2, p = 0.005, respectively) Of the 31 tested SNPs, 25 were directionally consistent with the results reported in the original GWAS on BMI (Additional file 1: Table S3) This number was higher than that expected by chance (p = 0.0003 in a binomial test) Some SNPs were nominally associated with continuous anthropometric traits other than BMI (such as body fat percentage and hip and waist circumferences) The FTO rs9939609 and FANCL rs887912 SNPs were nominally associated with body fat percentage (β ± SE = 0.53 ± 0.27%, p = 0.05 and β ± SE = 0.69 ± 0.28%, p = 0.01, respectively) We also observed nominal associations between the FANCL rs887912 SNP and waist and hip circumferences (β ± SE = 1.03 ± 0.50 cm, p = 0.04 and β ± SE = 0.89 ± 0.39 cm, p = 0.02, respectively), between the MTIF3 rs4771122 SNP and hip circumference (β ± SE = 0.84 ± 0.42 cm, p = 0.04) and between the NUDT3 rs206936 SNP and WHR (β ± SE = −0.007 ± 0.003, p = 0.01) Page of significant associations between the GPS and several anthropometric variables (such as BMI, body fat percentage, waist circumference and hip circumference; Table 1) The mean [95% confidence interval (CI)] allele effect of the GPS was +0.13 [0.07-0.20] kg/m2 (p = 6.3x10−5) for BMI, +0.14 [0.05-0.24]% (p = 0.004) for body fat percentage, +0.28 [0.11-0.45] cm (p = 0.001) for waist circumference and +0.24 [0.11-0.37] cm (p = 3.7x10−4) for hip circumference We did not detect a statistically significant association between the GPS and WHR Similar results were obtained after taking into account missing genotypes (Additional file 1: Table S4) Associations between the GPS and the waist and hip circumferences disappeared after further adjustment for BMI We also investigated the possible effect of interactions between the GPS and gender, physical activity (PA), smoking status and alcohol consumption on anthropometric variables but did not detect any significant interactions (data not shown) To distinguish between the effects of the GPS and the effects of the covariables classically associated with BMI (age, gender, PA, smoking status and alcohol consumption), we compared the crude and adjusted models (Table 2) The GPS alone accounted for 1% of the variance in the BMI, whereas the covariables accounted for 6% Overall, the GPS and the covariables explained 7% of the variance in the BMI We also investigated the association between the GPS and the obesity risk Each additional BMI-raising allele was associated with a 3% increase in the obesity risk (OR [95% CI] = 1.03 [1.00-1.07]; p = 0.047) The genetic predisposition score, glucose-related traits and the type diabetes risk Given that obesity is an important determinant of glycaemic traits and insulin resistance, we assessed the association between the GPS on one hand and fasting plasma glucose, HbA1c and insulin levels, the HOMA-IR and HOMA-B scores and the risk of T2D on the other We Table Effect of the genetic predisposition score on anthropometric variables in the MONA LISA Lille study (n = 1546) Parameter The 31 SNPs were used to calculate a genetic predisposition score (GPS), which was normally distributed (mean: 27.7 ± 3.7 alleles; range: 13.8 to 38.9) We observed SE LCL UCL p1 p2 −5 BMI (kg/m ) 0.13 0.03 0.07 0.20 6.3x10 - Body fat (%) 0.14 0.05 0.05 0.24 0.004 - Waist (cm) 0.28 0.09 0.11 0.45 0.001 0.65 Hip (cm) 0.24 0.07 0.11 0.37 3.7x10−4 0.74 0.0006 0.0004 −0.0003 0.0015 0.19 0.41 Waist-to-hip ratio The genetic predisposition score, BMI and the obesity risk β The β coefficients represent the effect sizes SE: standard error LCL: lower confidence limit; UCL: upper confidence limit p values were adjusted for age, gender, physical activity, smoking status and alcohol consumption 2p values were adjusted for age, gender, physical activity, smoking status, alcohol consumption and BMI Goumidi et al BMC Genetics 2014, 15:62 http://www.biomedcentral.com/1471-2156/15/62 Page of Table Effects of the crude and adjusted genetic predisposition score on BMI in the MONA LISA Lille study (n = 1546) Models β SE LCL UCL p Explained variance (%) −5 Model 0.14 0.03 0.07 0.20 5.4x10 1.0 Model 0.13 0.03 0.07 0.2 6.3x10−5 7.0 The β coefficients represent the effect sizes SE: standard error LCL: lower confidence limit; UCL: upper confidence limit Model 1: crude p value Model 2: p value adjusted for age, gender, physical activity, smoking status and alcohol consumption detected significant associations between the GPS and higher fasting plasma glucose (β ± SE = +0.017 ± 0.008 mmol/L, p = 0.04), insulin (β ± SE = +0.14 ± 0.06 μIU/mL, p = 0.008) and HbA1c levels (β ± SE = +0.012 ± 0.005%, p = 0.01) and a higher HOMA-IR (β ± SE = +0.06 ± 0.02, p = 0.0003) (Table 3) The GPS was also significantly associated with a higher risk of T2D (adjusted OR [95% CI] = 1.06 [1.00-1.11], p = 0.03) However, these associations were no longer statistically significant after adjustment for BMI Discussion Although the MONA LISA Lille study’s statistical power was too low (68%) to detect significant individual associations, 25 of the 31 investigated SNPs presented effects with the expected direction Moreover, the effect alleles for the FTO rs9939609 and FANCL rs887912 SNPs were nominally associated with higher BMI The GPS (corresponding to the cumulative contribution of the 31 validated BMI-associated SNPs) showed a significant, positive association with BMI Each additional effect allele was associated with a mean increment of 0.13 kg/m2 in the BMI (which corresponds to a weight increment of 376 g for a person measuring 1.70 m in height) and a 3% increase in the risk of obesity The GPS was also significantly associated with body fat percentage and waist and hip circumferences, although the last two associations did not resist adjustment for BMI (suggesting that they were driven by overall general adiposity) The genetic susceptibility associated with the GPS explained only 1% of the variance in the BMI, whereas the combined effect of known lifestyle factors accounted for 6% Although it is clear that (i) genetic factors account for 40–70% of the population variation in BMI and (ii) the 31 SNPs studied here have been robustly validated as BMI-susceptible variants in GWASs and replication studies, the SNPs’ combined effect on BMI and the obesity risk was quite small However, our results are in agreement with previous reports [8,10,11] Gene-environment interactions may also account for variance in the BMI Several studies have reported that PA is associated with a reduction in the GPS’s impact on BMI [12,13] Like others [12], we failed to detect significant interactions between the GPS and PA when considering several anthropometric traits (BMI, body fat percentage, waist and hip circumferences and WHR) Our failure to detect this interaction is probably due to the relatively small sample size In fact, very large sample sizes are needed when exploring this type of interaction For example, Ahmad et al showed that a population size of 20,000 is required to detect a βGE interaction effect of −0.07 kg/m2 [13] Given that obesity is a major risk factor for insulin resistance [14], the accumulation of obesity risk alleles may alter glucose metabolism and predispose the individual to T2D To evaluate this hypothesis, we looked at whether the GPS was associated with glucose-related variables and the T2D risk in the MONA LISA Lille study Indeed, we found significant associations between the GPS on one hand and higher fasting plasma glucose, insulin and HbA1c levels and insulin resistance on the other We also showed that each additional BMI-raising allele was associated with a 6% increment in the T2D risk Our results in a general population sample are consistent with previous reports In a French case–control study, each additional allele in the GPS was associated with higher insulin resistance and a 3% increase in the T2D risk [15] In the EPIC prospective cohort study, each additional allele in the GPS was also associated with a 4% increase in the T2D risk [10] In both these previous studies (as in the present study), all the statistically significant associations were abolished after adjustment for BMI - meaning that overall general adiposity explained the association between the GPS and insulin resistance or T2D Table Associations between the genetic predisposition score and glucose-related variables in the MONA LISA Lille study β Fasting glucose (mmol/L) 0.017 SE 0.008 LCL 0.001 UCL Model Model p p 0.033 0.04 0.35 Fasting insulin (μIU/mL) 0.14 0.06 0.03 0.24 0.008 0.46 HbA1c (%) 0.012 0.005 0.003 0.021 0.01 0.10 HOMA-IR 0.06 0.02 0.03 0.10 0.0003 0.10 HOMA-B 1.17 0.63 −0.07 2.42 0.18 0.83 The β coefficients represent the effect sizes SE: standard error LCL: lower confidence limit; UCL: upper confidence limit Model 1: values were adjusted for age, gender, physical activity, smoking status and alcohol consumption Model 2: values were adjusted for age, gender, physical activity, smoking status, alcohol consumption and BMI Goumidi et al BMC Genetics 2014, 15:62 http://www.biomedcentral.com/1471-2156/15/62 Conclusions Our results showed that the combination of common genetic variants was moderately associated with BMI and BMI-related variables in a sample of the general population from northern France Despite the fact that the heritability of BMI is estimated to be 40-70% [5], the combination of 31 validated, BMI-associated loci only explained only 1% of the variance in the BMI (i.e less than 2-4% of the heritability) [8] Hence, characterization of this unexplained heritability requires other approaches Methods The MONA LISA Lille study The MONA LISA (Monitoring National du Risque Artériel; National Monitoring of Arterial Risk) Lille study was a population-based, cross-sectional study of a representative sample of 1578 participants recruited from within the Lille urban area in northern France In accordance with the French legislation on biomedical research, the study protocol was approved by the appropriate independent ethics committee (Comité Consultatif de Protection des Personnes dans la Recherche Biomédicale de Lille) and written informed consent was obtained from all participants The study design and methods are described in the Additional file 1: methods Briefly, anthropometric traits were recorded during a physical examination of each individual and a blood sample was collected (for DNA extraction and clinical biochemistry assays) The BMI was calculated according to the Quetelet equation Obesity was defined as a BMI of 30 kg/m2 or more Type diabetes was defined according to the 1997 American Diabetes Association definition (fasting plasma glucose ≥ 7.0 mmol/l and/or treatment for diabetes, including diet and/or oral antidiabetic drugs and/or insulin) [16] Genotyping Single nucleotide polymorphisms were genotyped using KASPar technology (KBioscience, Hoddesdon, UK) The genotyping success rates ranged from 98.1% to 99.6% Statistical analysis Statistical analyses were performed with SAS 9.1 software (SAS Institute Inc., Cary, NC, USA) The Hardy-Weinberg equilibrium was tested using a χ2 test with one degree of freedom The GPS was derived as described previously [17] Briefly, a weighting method was used to calculate the GPS on the basis of 31 SNPs Each SNP was weighted according to its relative effect size (i.e the β coefficient) In order to measure the effect of each SNP on BMI with greater accuracy and precision, β coefficients were derived as described by Speliotes et al [8] We rescaled the weighted scores to reflect the number of risk alleles Page of Hence, each point on the GPS corresponded to one risk allele When calculating the GPS, missing genotype data were replaced with the average allele count for the corresponding SNPs However, individuals with missing genotypes for more than 10% of the loci were excluded from the GPS analyses (n = 30) We used general linear regression models to test the associations of individual BMI-related SNPs and the GPS with adiposity-related traits (including BMI, body fat percentage, WHR, waist circumference and hip circumference) and glucose-related traits (assuming an additive effect of the BMI-increasing alleles) A logistic regression model was used to test the association between the GPS and the risk of obesity or T2D Interactions between the GPS on one hand and gender, PA, smoking status and alcohol consumption on the other were tested by including the GPS, interaction variables and the interaction terms (GPS x interaction variables) in general linear regression models The associations between genetic variants and BMI, obesity and interactions were adjusted for age, gender, smoking status, PA and alcohol consumption The associations between genetic variants and body fat percentage, WHR, waist circumference and hip circumference were adjusted for age, gender, smoking status, PA, and alcohol consumption including or not BMI, depending of models The associations between genetic variants and biological parameters and the T2D risk were adjusted for age, gender, BMI, smoking status, PA and alcohol consumption Data distributions for plasma glucose and insulin levels and HOMA-IR and HOMA-B scores were normalized by log transformation Bonferroni correction was used to adjust for the Hardy-Weinberg equilibrium and for the multiple testing in the individual obesity-related trait analyses The threshold for statistical significance was set to p ≤ 0.0016 (for 31 independent SNPs) Nominal significance was defined as 0.0016 < p < 0.05 For the GPS analyses, the threshold for statistical significance was set to p ≤ 0.05 The power calculations for association analyses (performed a priori using Quanto v1.2.4 software (http:// biostats.usc.edu/Quanto.html) on the basis of the mean BMI values from the MONA LISA Lille study and the effect allele frequencies and effect sizes originally reported by Speliotes et al [8]) indicated that the statistical power of our study (for detecting a significant association between an individual SNP and BMI with a one-sided p value of 0.05) was 68% The power calculations for the GPS analysis were performed using the pwr package developed by Stéphane Champely The statistical power for detecting significant association between GPS and BMI (using a p value at 0.05) was 99% Goumidi et al BMC Genetics 2014, 15:62 http://www.biomedcentral.com/1471-2156/15/62 Additional file Additional file 1: Table S1 Characteristics of the participants in the MONA LISA Lille study (n = 1578) Table S2 Genotype and allele distributions of the 31 successfully genotyped SNPs in the MONA LISA Lille study Table S3 Associations between the 31 SNPs and the anthropometric variables in the MONA LISA Lille study (n = 1578) Table S4 Effect of the GPS on anthropometric variables in the MONA LISA Lille study for fully genotyped participants (n = 1326) Methods The MONA LISA Lille study Abbreviations BMI: Body mass index; CI: Confidence interval; GPS: Genetic predisposition score; GWAS: Genome-wide association study; OR: Odds ratio; PA: Physical activity; SE: Standard error; SNP: Single nucleotide polymorphism; T2D: Type diabetes; WHR: Waist-to-hip ratio; WHO: World health organization Competing interests The authors declare that they have no competing interests Authors’ contributions DC, JD, PA, LG and AM designed the study and supervised the project DC, JD and PA participated in the recruitment of participants LG performed the statistical analyses LG and AM interpreted the results LG wrote the manuscript LG and AM had primary responsibility for final content All authors read and approved the final manuscript Acknowledgments The MONA LISA Study was made possible by an unrestricted grant from Pfizer and a grant from the French Agence Nationale de la Recherche (ANR-05-PNRA-018) Received: 14 January 2014 Accepted: 19 May 2014 Published: 23 May 2014 References Rabin BA, Boehmer TK, Brownson RC: Cross-national comparison of environmental and policy correlates of obesity in Europe Eur J Public Health 2007, 17:53–61 Finucane MM, Stevens GA, Cowan MJ, Danaei G, Lin JK, Paciorek CJ, Singh GM, Gutierrez HR, Lu Y, Bahalim AN, Farzadfar F, Riley LM, Ezzati M: National, regional, and global trends in body-mass index since 1980: systematic analysis of health examination surveys and epidemiological studies with 960 country-years and 9.1 million participants Lancet 2011, 377:557–567 Kopelman P: Health risks associated with overweight and obesity Obes Rev 2007, 8(1):13–17 WHO: WHO In World Health Organisation; 2011 Available at: http://www who.int/topics/obesity/en/ Maes HH, Neale MC, Eaves LJ: Genetic and environmental factors in relative body weight and human adiposity Behav Genet 1997, 27:325–351 Atwood LD, Heard-Costa NL, Cupples LA, Jaquish CE, Wilson PW, D’Agostino RB: Genomewide linkage analysis of body mass index across 28 years of the Framingham Heart Study Am J Hum Genet 2002, 71:1044–1050 Blakemore AI, Froguel P: Is obesity our genetic legacy? J Clin Endocrinol Metab 2008, 93:S51–S56 Speliotes EK, Willer CJ, Berndt SI, Monda KL, Thorleifsson G, Jackson AU, Lango AH, Lindgren CM, Luan J, Magi R, Randall JC, Vedantam S, Winkler TW, Qi L, Workalemahu T, Heid IM, Steinthorsdottir V, Stringham HM, Weedon MN, Wheeler E, Wood AR, Ferreira T, Weyant RJ, Segre AV, Estrada K, Liang L, Nemesh J, Park JH, Gustafsson S, Kilpelainen TO, et al: Association analyses of 249,796 individuals reveal 18 new loci associated with body mass index Nat Genet 2010, 42:937–948 Vliet-Ostaptchouk JV, den Hoed M, Luan J, Zhao JH, Ong KK, van der Most PJ, Wong A, Hardy R, Kuh D, van der Klauw MM, Bruinenberg M, Khaw KT, Wolffenbuttel BH, Wareham NJ, Snieder H, Loos RJ: Pleiotropic effects of obesity-susceptibility loci on metabolic traits: a meta-analysis of up to 37,874 individuals Diabetologia 2013, 56:2134–2146 Page of 10 Li S, Zhao JH, Luan J, Langenberg C, Luben RN, Khaw KT, Wareham NJ, Loos RJ: Genetic predisposition to obesity leads to increased risk of type diabetes Diabetologia 2011, 54:776–782 11 Li S, Zhao JH, Luan J, Luben RN, Rodwell SA, Khaw KT, Ong KK, Wareham NJ, Loos RJ: Cumulative effects and predictive value of common obesitysusceptibility variants identified by genome-wide association studies Am J Clin Nutr 2010, 91:184–190 12 Jaaskelainen T, Paananen J, Lindstrom J, Eriksson JG, Tuomilehto J, Uusitupa M: Genetic predisposition to obesity and lifestyle factors - the combined analyses of twenty-six known BMI- and fourteen known waist: hip ratio (WHR)-associated variants in the Finnish Diabetes Prevention Study Br J Nutr 2013, 110:1856–1865 13 Ahmad S, Rukh G, Varga TV, Ali A, Kurbasic A, Shungin D, Ericson U, Koivula RW, Chu AY, Rose LM, Ganna A, Qi Q, Stancakova A, Sandholt CH, Elks CE, Curhan G, Jensen MK, Tamimi RM, Allin KH, Jorgensen T, Brage S, Langenberg C, Aadahl M, Grarup N, Linneberg A, Pare G, Magnusson PK, Pedersen NL, Boehnke M, Hamsten A, et al: Gene x physical activity interactions in obesity: combined analysis of 111,421 individuals of European ancestry PLoS Genet 2013, 9:e1003607 14 Kahn SE, Hull RL, Utzschneider KM: Mechanisms linking obesity to insulin resistance and type diabetes Nature 2006, 444:840–846 15 Robiou-du-Pont S, Bonnefond A, Yengo L, Vaillant E, Lobbens S, Durand E, Weill J, Lantieri O, Balkau B, Charpentier G, Marre M, Froguel P, Meyre D: Contribution of 24 obesity-associated genetic variants to insulin resistance, pancreatic beta-cell function and type diabetes risk in the French population Int J Obes (Lond) 2013, 37:980–985 16 Expert Committee on the Diagnosis and Classification of Diabetes Mellitus: Report of the expert committee on the diagnosis and classification of diabetes mellitus Diabetes Care 2003, 26(1):S5–S20 S5-20 17 Qi Q, Chu AY, Kang JH, Jensen MK, Curhan GC, Pasquale LR, Ridker PM, Hunter DJ, Willett WC, Rimm EB, Chasman DI, Hu FB, Qi L: Sugarsweetened beverages and genetic risk of obesity N Engl J Med 2012, 367:1387–1396 doi:10.1186/1471-2156-15-62 Cite this article as: Goumidi et al.: Effects of established BMI-associated loci on obesity-related traits in a French representative population sample BMC Genetics 2014 15:62 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color figure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit ... during a physical examination of each individual and a blood sample was collected (for DNA extraction and clinical biochemistry assays) The BMI was calculated according to the Quetelet equation... results in a general population sample are consistent with previous reports In a French case–control study, each additional allele in the GPS was associated with higher insulin resistance and a 3% increase... determinant of glycaemic traits and insulin resistance, we assessed the association between the GPS on one hand and fasting plasma glucose, HbA1c and insulin levels, the HOMA-IR and HOMA-B scores and